Child and Maternal Mortality
in Islamic Countries
80
country by 2021), which acknowledges that improved health is a necessary and critical
condition for the achievement of the vision. The 4 th HPNSP’s articulation and design have been
linked to the 7th Five Year Plan (FYP) of the Government. The 4th HPNSP fits nicely with the
Sustainable Development Goals (SDGs) to be achieved by 2030. This will be the first of three 5-
year programs from the Government of Bangladesh contributing towards the goal of UHC in
2030. The 4th HPNSP has detailed strategies, priorities, objectives, and activities planned for
multiple sub-sectors.
Priorities and Strategies:
One of the priorities in the health sub-sector includes Reproductive, Maternal, Newborn, Child,
and Adolescent Health (RMNCAH). Priority under the 4 th HPNSPwill be given to implementation
of approved Maternal Health Strategy and MNH Standard Operating Procedures; making 24/7
normal delivery services available at all Upazila and union level (in a phased manner);
strengthening of strategically located facilities for BEmONC and CEmONC services; addressing
the indirect causes of maternal death, malnutrition, and chronic diseases; implementing special
service packages for low - performing and underserved areas; and management of sick
newborns. Simultaneously, adolescent health improvement activities to be pursued during the
4th HPNSP include the development of a comprehensive Adolescent Strategy and Action Plan;
promotion of school health programs; strengthening response to gender-based violence; and
prevention of child marriage.
In the population sub-sector, Population and Family Planning Services will also be prioritized
including activities to make LARC, LAPM and other relevant contraception methods available
through strengthening of service delivery; strengthening FP services for post-partum and post-
MR/PAC; ensuring availability of contraceptives through proper need assessment and
procurement planning; continuation of efforts like awareness programs, orienting newly
married couples on contraception methods; and implementation of regional service package for
FP in hard-to-reach locations and low-performing areas.
Health Expenditure: BANGLADESH
Table 3. 1 Key figures of current health expenditure indicators in Bangladesh
YEAR
2000 2005 2010 2016
GDP PER CAPITA
US$
697 839 1,061 1,447
CHE PER CAPITA
US$
14 19 26 34
GGHED%CHE 29% 22% 21% 18%
GGHED%GDP 0.6% 0.5% 0.5% 0.4%
OOPS%CHE 61% 65% 67% 72%
GGE%GDP 11% 12% 12% 13%
GGHED%GGE 5% 4% 4% 3%
POPULATION 131,581,240 143,431,104 152,149,104 162,951,552
Domestic government health expenditure (GGHE-D). Current health expenditure (CHE). General government
expenditure (GGE). Out-of-pocket spending (OOPS). External Resources (EXT). Gross domestic product (GDP).
Source: WHO Global Health Expenditure Database. For more information visit